Provider Demographics
NPI:1538917612
Name:ABBY SWANDAL THERAPY SERVICES P.L.L.C.
Entity type:Organization
Organization Name:ABBY SWANDAL THERAPY SERVICES P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SWANDAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:763-228-1103
Mailing Address - Street 1:725 LANEWOOD LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4345
Mailing Address - Country:US
Mailing Address - Phone:763-228-1103
Mailing Address - Fax:
Practice Address - Street 1:901 TWELVE OAKS CENTER DR STE 926D
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4720
Practice Address - Country:US
Practice Address - Phone:612-491-6158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty